Individual
MRS. MARY F LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD, MPH
Contact information
Practice address
306 4TH STREET NORTH, FARGO, ND 58102-4820
(701) 271-3344
(701) 271-3343
Mailing address
PO BOX 2625, FAMILY HEALTHCARE CENTER, FARGO, ND 58108-2625
(701) 271-3344
(701) 271-3343
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
435
ND
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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